Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendall Clevenger, PA

Individual provider Physician Assistant · NPI 1154654218

Kendall Clevenger, PA is a Physician Assistant in Pine City, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

510 2nd St SE
Pine City, MN 55063-1706
Phone: (320) 629-6721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9635 (MN)

Record details

NPI number1154654218
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 8, 2009
Last updated in NPPESSeptember 8, 2009

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